糖尿病并发细菌性肝脓肿临床特点

Clinical characteristics of diabetes mellitus complicated with hepatic abscesses

目的 :探讨糖尿病 (DM)并发细菌性肝脓肿的临床特点。方法 :回顾性分析15例DM并发肝脓肿病例。结果 :DM并发肝脓肿多发生于肝右叶 ,血糖控制不理想。胆道疾病为主要病因 (40 % ) ,临床症状不典型 ,容易误诊、漏诊 ,诊断首选B超检查(92 9 % ) ,治疗总有效率高 (93 3 % )。结论 :提高本病早期诊断是改善本病及预后的关键。治疗应以控制感染 ,处理脓肿为主 ,兼顾血糖控制及营养支持治疗。

Objective:To study the clinical characteristics of diabetes mellitus(DM) complicated with hepatic abscesses.Methods:15 cases of DM complicated with hepatic abscesses were analyzed retrospectively.Results:DM complicated with hepatic abscesses often happened in right lobe of liver.Unsatisfied control of blood sugar and biliary diseases were main causes of this disorder(40%).It's easy to misdiagnose the disorder for the atypical chinical features of it.Abdominal B-ultrasonography was the first-selected method in the diagnosis(92.9%).The effective rate of treatment was high(93.3%).Conclusion:Early diagnosis was the key to improve the prognosis of this disorder.Anti-infection,dealing with abscesses,control of blood sugar and supportive treatment were all effective for treating.